NPI | 1235958877 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ZAVALA Nurse Practitioner 575-644-3637 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-10-09 |